﻿         	<h3 style="direction:rtl"> מחלות רקע אחים?</h3>
	
            <div class="radiobuttons">
                
                <input type="radio" name="siblings_healthy" id="sibhealth1" value="1"/>
                <label class="radiolabel" for="sibhealth1">לא</label>
                <input type="radio" name="siblings_healthy" id="sibhealth2" value="0"/>
                <label class="radiolabel" for="sibhealth2">כן</label>
                
            </div>
            
            <h3> מחלות רקע </h3>
            
            <div class="backgroundDiseases" id="siblings_diseases[]">
            	<?php 
        		include("dList.html");
        	    ?>
            </div>
            
            <h3> האם מישהו מהאחים\אחיות נפטר? </h3>

            <div class="radiobuttons">
            
                <input type="radio" name="siblings_death" id="sibdeath1" value="0"/>
                <label class="radiolabel" for="sibdeath1">לא</label>
                <input type="radio" name="siblings_death" id="sibdeath2" value="1"/>
                <label class="radiolabel" for="sibdeath2">כן</label>

            </div>
            
            <h3> מי? </h3>

            <div class="radiobuttons">
            
                <input type="radio" name="siblings_gender" id="deathsex1" value="male"/>
                <label class="radiolabel" for="deathsex1">אח</label>
                <input type="radio" name="siblings_gender" id="deathsex2" value="female"/>
                <label class="radiolabel" for="deathsex2">אחות</label>
            
            </div>
            
            <label class="textlabel"><input type="text" name="siblings_deathAge" maxLength="3" size="3"/><span>:גיל</span></label>

            <h3>סיבת המוות:</h3>
            
            <div class="deathCauses" id="siblings_deathCause[]">
				<?php 
        		include("dcsList.html");
        	    ?>
            </div>
